Free vascularized fibular transfer with langenskiöld procedure for the treatment of congenital pseudarthrosis of the forearm

Andrea S. Bauer, Avreeta K. Singh, Derek Amanatullah, Joel Lerman, Michelle James

Research output: Contribution to journalArticle

6 Citations (Scopus)

Abstract

Congenital pseudarthrosis of the radius or ulna is a rare entity. It is associated with neurofibromatosis, but occurs much less commonly than congenital pseudarthrosis of the tibia. Pseudarthrosis of the forearm can lead to pain, deformity, and limited forearm rotation. Nonsurgical management leads to poor results, as do surgical treatments such as open reduction internal fixation and conventional bone grafting. The transfer of a free vascularized fibula to the forearm pseudarthrosis has been more successful, and it is our preferred method of treatment for children with this condition. Because the transfer is often performed in young children, there is the potential for valgus deformity at the ankle after the fibula is removed. We describe here our technique for the transfer, including the technique for distal tibiofibular fusion (Langenskiöld procedure) after removal of the fibular graft. In addition, we present the results of 5 patients who have undergone this combination of procedures for pseudarthrosis of the forearm at our institution.

Original languageEnglish (US)
Pages (from-to)144-150
Number of pages7
JournalTechniques in Hand and Upper Extremity Surgery
Volume17
Issue number3
DOIs
StatePublished - Sep 2013
Externally publishedYes

Fingerprint

Pseudarthrosis
Forearm
Fibula
Therapeutics
Ulna
Neurofibromatoses
Bone Transplantation
Tibia
Ankle
Transplants
Pain

Keywords

  • congenital pseudarthrosis
  • free vascularized fibula
  • neurofibromatosis

ASJC Scopus subject areas

  • Surgery
  • Orthopedics and Sports Medicine

Cite this

Free vascularized fibular transfer with langenskiöld procedure for the treatment of congenital pseudarthrosis of the forearm. / Bauer, Andrea S.; Singh, Avreeta K.; Amanatullah, Derek; Lerman, Joel; James, Michelle.

In: Techniques in Hand and Upper Extremity Surgery, Vol. 17, No. 3, 09.2013, p. 144-150.

Research output: Contribution to journalArticle

@article{48bfd70fa2f74e37b2a482e36fe90c2b,
title = "Free vascularized fibular transfer with langenski{\"o}ld procedure for the treatment of congenital pseudarthrosis of the forearm",
abstract = "Congenital pseudarthrosis of the radius or ulna is a rare entity. It is associated with neurofibromatosis, but occurs much less commonly than congenital pseudarthrosis of the tibia. Pseudarthrosis of the forearm can lead to pain, deformity, and limited forearm rotation. Nonsurgical management leads to poor results, as do surgical treatments such as open reduction internal fixation and conventional bone grafting. The transfer of a free vascularized fibula to the forearm pseudarthrosis has been more successful, and it is our preferred method of treatment for children with this condition. Because the transfer is often performed in young children, there is the potential for valgus deformity at the ankle after the fibula is removed. We describe here our technique for the transfer, including the technique for distal tibiofibular fusion (Langenski{\"o}ld procedure) after removal of the fibular graft. In addition, we present the results of 5 patients who have undergone this combination of procedures for pseudarthrosis of the forearm at our institution.",
keywords = "congenital pseudarthrosis, free vascularized fibula, neurofibromatosis",
author = "Bauer, {Andrea S.} and Singh, {Avreeta K.} and Derek Amanatullah and Joel Lerman and Michelle James",
year = "2013",
month = "9",
doi = "10.1097/BTH.0b013e318295238b",
language = "English (US)",
volume = "17",
pages = "144--150",
journal = "Techniques in Hand and Upper Extremity Surgery",
issn = "1089-3393",
publisher = "Lippincott Williams and Wilkins",
number = "3",

}

TY - JOUR

T1 - Free vascularized fibular transfer with langenskiöld procedure for the treatment of congenital pseudarthrosis of the forearm

AU - Bauer, Andrea S.

AU - Singh, Avreeta K.

AU - Amanatullah, Derek

AU - Lerman, Joel

AU - James, Michelle

PY - 2013/9

Y1 - 2013/9

N2 - Congenital pseudarthrosis of the radius or ulna is a rare entity. It is associated with neurofibromatosis, but occurs much less commonly than congenital pseudarthrosis of the tibia. Pseudarthrosis of the forearm can lead to pain, deformity, and limited forearm rotation. Nonsurgical management leads to poor results, as do surgical treatments such as open reduction internal fixation and conventional bone grafting. The transfer of a free vascularized fibula to the forearm pseudarthrosis has been more successful, and it is our preferred method of treatment for children with this condition. Because the transfer is often performed in young children, there is the potential for valgus deformity at the ankle after the fibula is removed. We describe here our technique for the transfer, including the technique for distal tibiofibular fusion (Langenskiöld procedure) after removal of the fibular graft. In addition, we present the results of 5 patients who have undergone this combination of procedures for pseudarthrosis of the forearm at our institution.

AB - Congenital pseudarthrosis of the radius or ulna is a rare entity. It is associated with neurofibromatosis, but occurs much less commonly than congenital pseudarthrosis of the tibia. Pseudarthrosis of the forearm can lead to pain, deformity, and limited forearm rotation. Nonsurgical management leads to poor results, as do surgical treatments such as open reduction internal fixation and conventional bone grafting. The transfer of a free vascularized fibula to the forearm pseudarthrosis has been more successful, and it is our preferred method of treatment for children with this condition. Because the transfer is often performed in young children, there is the potential for valgus deformity at the ankle after the fibula is removed. We describe here our technique for the transfer, including the technique for distal tibiofibular fusion (Langenskiöld procedure) after removal of the fibular graft. In addition, we present the results of 5 patients who have undergone this combination of procedures for pseudarthrosis of the forearm at our institution.

KW - congenital pseudarthrosis

KW - free vascularized fibula

KW - neurofibromatosis

UR - http://www.scopus.com/inward/record.url?scp=84883709742&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84883709742&partnerID=8YFLogxK

U2 - 10.1097/BTH.0b013e318295238b

DO - 10.1097/BTH.0b013e318295238b

M3 - Article

C2 - 23970196

AN - SCOPUS:84883709742

VL - 17

SP - 144

EP - 150

JO - Techniques in Hand and Upper Extremity Surgery

JF - Techniques in Hand and Upper Extremity Surgery

SN - 1089-3393

IS - 3

ER -